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Contact Information

GEORGE P THOTTAKARA, MA CADC III
1201 JACKSON ST
MARINETTE COUNTY HEALTH AND HUMAN SERVICES
NIAGARA, WI54151
 Phone: 715-251-4555
 Fax: 715-251-1754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GEORGE P THOTTAKARA · (Male)

NPI Number 1013006329
Status Active
Credentials MA CADC III
Entity Individual
Enumeration date 10/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 2579125
  • WI Medicaid 39187300
  • WI Other 2579125 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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